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General NPI Number Information
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NPI Number | 1306663893
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND SURGERY CENTERS,LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 17W682 BUTTERFIELD RD
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4029
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Country | US
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Telephone | 708-636-9393
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Fax | 708-636-2022
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Provider Business Mailing Address
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Address Line | 17W682 BUTTERFIELD RD
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4029
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Country | US
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Telephone | 708-636-9393
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Fax | 708-636-2022
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Authorized Official
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Title or Position | MD
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Name | MOHAMMAD AL-KHUDARI
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Credential | MD
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Telephone | 815-557-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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